Improved Gynecomastia Surgery

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madman

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Abstract

Background


Gynecomastia, the enlargement of male breast tissue, significantly impacts both physical and psychological health. Surgical intervention is often necessary, utilizing various techniques to reduce glandular and fatty tissue. This paper introduces an innovative surgical method combining power-assisted liposuction with the stab-flatten technique to enhance precision and cosmetic results. We present our clinical experience and evaluate its effectiveness in gynecomastia treatment.


Methods

From June 2021 to January 2023, 128 gynecomastia patients underwent power-assisted liposuction and thestab-flatten method via a single axillary incision. We collected demographic and clinical data, including surgery duration,complications, and patient satisfaction regarding physical appearance, mental state, and social interactions. The BODY-Q questionnaire was used preoperatively and 3 months postoperatively for assessment.


Results

The study included 128 male patients, treating 252 breasts, with an average age of 35 years and a mean BMI of 27.7 kg/m2. Most procedures were bilateral (96.9%), with an average fat removal of 224.5 mL and a surgery duration of 147 minutes. The complication rate was low at 2.0%, with bruises in 5 breasts. The average hospital stay was 2 days. Significant improvements were noted in BODY-Q scores for appearance satisfaction and health-related quality of life, with increased appearance satisfaction and reduced appearance-related distress.


Conclusion

Since June 2021, the combined use of power-assisted liposuction and the stab-flatten technique has been effective in managing gynecomastia. This synergistic approach not only achieves aesthetically pleasing outcomes but also minimizes the surgical risks associated with traditional methods.




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Conclusions

The combination of power-assisted liposuction and the stab-flatten technique has proven highly effective in the management of gynecomastia, achieving excellent aesthetic results with a low incidence of complications. This approach excels in sculpting a naturally contoured male breast while minimizing scarring, typically leaving only a single, barely noticeable scar. This method has consistently demonstrated its ability to provide not only significant cosmetic enhancements but also to do so with minimal surgical impact.
 
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